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Sebald was an author deeply devoted to the ethical responsibilities and aesthetic possibilities of literary discourse, and this essay explores the importance of history within his constellation of ethical and aesthetic concerns. Special attention is paid to analysing Sebald’s unique fictional prose form that blurs the boundary between literature and historiography. Distinct from historical novels and documentary fiction, Sebald’s works rely on facts and artefacts as much as they need both memory and imagination. While the traces, repression, and erasure of National Socialist crimes are prominent in his works, the German past is not his only concern. Sebald writes on the Belgian colonial oppression in the Congo, the capitalist exploitation of the Amazon forests, and the massacres caused by Napoleon’s military campaigns. Furthermore, trauma is not limited to human experience in Sebald’s works; he devotes attention to the destruction of nature and animals as well. Focusing on Sebald’s attempts to find appropriate ways to approach the past and individual experience, this essay shows how he creates a literary form that both encourages reader engagement and provides empathetic access to the past.
This essay provides an overview of literary scholarship on W.G. Sebald: the developments and trends as well as common themes and approaches. It highlights examples of existing scholarship that introduce Sebald’s life and work, discuss his literary criticism, and approach his works through a comparative lens. Special consideration is given to Sebald’s prose form, in particular the ethical implications of his way to combine fact and fiction. Finally, the essay suggests possibilities for future research that considers the unpublished materials (manuscripts, correspondence, and images) in Sebald’s literary estate, held at the German Literature Archive in Marbach, and that approaches his works via digital tools and methods (e.g., mapping, visualizing, network analysis, distant reading).
Autism spectrum disorders (ASD) are associated with high services use, but European data on costs are scarce.
Objectives
Utilisation and annual costs of 385 individuals with ASD (aged 4-67 years; 18.2% females; 37.4% IQ < 85) from German outpatient clinics were assessed.
Methods
Client Service Receipt Inventory
Results
Average annual costs per person were 3287 EUR, with psychiatric inpatient care (19.8%), pharmacotherapy (11.1%), and occupational therapy (11.1%) being the largest cost components. Females incurred higher costs than males (4864 EUR vs. 2936 EUR). In a regression model, female sex (Cost Ratio: 1.65), lower IQ (1.90), and Asperger syndrome (1.54) were associated with higher costs.
Conclusions
In conclusion, ASD-related health costs are comparable to those of schizophrenia, thus underlining its public health relevance. Higher costs in females demand further research.
Partial equilibrium models have been used extensively by policy makers to prospectively determine the consequences of government programs that affect consumer incomes or the prices consumers pay. However, these models have not previously been used to analyze government programs that inform consumers. In this paper, we develop a model that policy makers can use to quantitatively predict how consumers will respond to risk communications that contain new health information. The model combines Bayesian learning with the utility-maximization of consumer choice. We discuss how this model can be used to evaluate information policies; we then test the model by simulating the impacts of the North Dakota Folic Acid Educational Campaign as a validation exercise.
We aimed to quantify the proportion of people receiving care for HIV-infection that are 50 years or older (older HIV patients) in Latin America and the Caribbean between 2000 and 2015 and to estimate the contribution to the growth of this population of people enrolled before (<50yo) and after 50 years old (yo) (⩾50yo). We used a series of repeated, cross-sectional measurements over time in the Caribbean, Central and South American network (CCASAnet) cohort. We estimated the percentage of patients retained in care each year that were older HIV patients. For every calendar year, we divided patients into two groups: those who enrolled before age 50 and after age 50. We used logistic regression models to estimate the change in the proportion of older HIV patients between 2000 and 2015. The percentage of CCASAnet HIV patients over 50 years had a threefold increase (8% to 24%) between 2000 and 2015. Most of the growth of this population can be explained by the increasing proportion of people that enrolled before 50 years and aged in care. These changes will impact needs of care for people living with HIV, due to multiple comorbidities and high risk of disability associated with aging.
An updated compilation of published and new data of major-ion (Ca, Cl, K, Mg, Na, NO3, SO4) and methylsulfonate (MS) concentrations in snow from 520 Antarctic sites is provided by the national ITASE (International Trans-Antarctic Scientific Expedition) programmes of Australia, Brazil, China, Germany, Italy, Japan, Korea, New Zealand, Norway, the United Kingdom, the United States and the national Antarctic programme of Finland. The comparison shows that snow chemistry concentrations vary by up to four orders of magnitude across Antarctica and exhibit distinct geographical patterns. The Antarctic-wide comparison of glaciochemical records provides a unique opportunity to improve our understanding of the fundamental factors that ultimately control the chemistry of snow or ice samples. This paper aims to initiate data compilation and administration in order to provide a framework for facilitation of Antarctic-wide snow chemistry discussions across all ITASE nations and other contributing groups. The data are made available through the ITASE web page (http://www2.umaine.edu/itase/content/syngroups/snowchem.html) and will be updated with new data as they are provided. In addition, recommendations for future research efforts are summarized.
The primary aim was to examine the association of socio-economic factors and diet with overweight (including obesity) among school-aged children in Haiti. The secondary aim was to describe food availability and the physical activity built environment in participating schools.
Design
This cross-sectional study examined baseline data from the intervention Mamba study assessing the effectiveness of a fortified peanut butter paste in school-aged children. Logistic regression modelling was used to test hypothesized factors in association with overweight status.
Setting
Six primary schools in Cap-Haitien, the second largest city in Haiti.
Subjects
Children (n 968) aged 3–13 years, in good health and enrolled in a participating school for the 2012/13 school year.
Results
Child age (adjusted OR (AOR); 95 % CI=0·25; 0·12, 0·56), child age squared (1·08; 1·03, 1·13), always purchasing food at school (3·52; 1·12, 11·08), mother’s BMI (1·10; 1·04, 1·16) and household ownership of a bicycle (0·28; 0·11, 0·71) were significantly associated with overweight (likelihood ratio=36, P<0·0001). Consumption of fish was significantly lower in overweight children in the binary analysis (P=0·033) and improved the fit of the model. Schools had limited time and space for physical activity and foods sold by vendors were predominantly high in sugar or fat.
Conclusions
To our knowledge the present study is the first to examine the covariates of childhood overweight or describe school food availability and physical activity built environments in Haiti. Further research is necessary to identify intervention targets and feasible, cost-effective approaches for prevention of obesity in Haiti children.
Non-steroidal anti-inflammatory drugs (NSAIDs) may inhibit antibody production by peripheral blood mononuclear cells; one consequence of this could be decreased effectiveness of vaccines in NSAID users. Because many older adults use low-dose aspirin for primary or secondary prevention of coronary events, any inhibitory effect of aspirin on vaccine immune response could reduce the benefits of vaccination programmes in older adults. We tested whether immune response to vaccination differed between users vs. non-users of low-dose aspirin, using data from four randomized trials of monovalent 2009 pandemic influenza A(H1N1) vaccine. Geometric mean haemagglutination inhibition antibody titres were not significantly lower in low-dose aspirin users compared to non-users. Our results provide reassurance that influenza vaccination effectiveness is probably not reduced in older adults taking chronic low-dose aspirin.
The Florida Children’s Medical Services (CMS) has a long-standing history of ensuring that providers of multiple paediatric subspecialties abide by the highest standards. The cardiac sub-committee has written quality standard documents that participating programmes must meet or exceed. These standards oversee paediatric cardiology services including surgery, catheterisations, and outpatient services. On April, 2012, the cardiac sub-committee decided to develop similar standards in paediatric electrophysiology. A task force was created and began this process. These standards include a catalogue of required and optional equipment, as well as staff and physician credentials. We sought to establish expectations of procedural numbers by practitioner and facility. The task force surveyed the members of the Pediatric and Congenital Electrophysiology Society. Finding no consensus, the task force is committed to generate the data by requiring that the CMS participating programmes enrol and submit data to the Multicenter Pediatric and Adult Congenital EP Quality (MAP-IT™) Initiative. This manuscript details the work of the Florida CMS Paediatric Electrophysiology Task Force.
Since 1945, authors and scholars have intensely debated what form literary fiction about the Holocaust should take. The works of H. G. Adler (1910-1988) and W. G. Sebald (1944-2001), two modernist scholar-poets who settled in England but never met, present new ways of reconceptualizing the nature of witnessing, literary testimony, and the possibility of a "poetics" after Auschwitz. Adler, a Czech Jew who survived Theresienstadt and Auschwitz, was a prolific writer of prose and poetry, but his work remained little known until Sebald, possibly the most celebrated German writer of recent years, cited it in his 2001 novel, Austerlitz. Since then, a rediscovery of Adler has been under way. This volume of essays by international experts on Adler and Sebald investigates the connections between the two writers to reveal a new hybrid paradigm of writing about the Holocaust that advances our understanding of the relationship between literature, historiography, and autobiography. In doing so, the volume also reflects on the wider literary-political implications of Holocaust representation, demonstrating the shifting norms in German-language "Holocaust literature." Contributors: Jeremy Adler, Jo Catling, Peter Filkins, Helen Finch, Frank Finlay, Kirstin Gwyer, Katrin Kohl, Michael Krüger, Martin Modlinger, Dora Osborne, Ruth Vogel-Klein, Lynn L. Wolff. Helen Finch is an Academic Fellow in German at the University of Leeds. Lynn L. Wolff is an Alexander von Humboldt Research Fellow in German at the University of Stuttgart.
The act of bearing witness is ineluctably dependent on real places, real events, and the utterances of real people. As such it stands in tension with Aristotelian poetics, which suggests that poets should leave the stuff of actuality to the historiographers: “It is not the poet's function to relate actual events, but the kinds of things that might occur and are possible in terms of probability or necessity.” Whereas the historian relates actual events and focuses on “the particular,” poetry is “more philosophical” and “elevated” since it “relates more of the universal.” In the German context, this philosophically oriented approach to literature was given aesthetic underpinning in the Age of Idealism, which evolved the antirhetorical ideal of the “free,” autonomous literary work of art that is liberated from the lowly constraints of historical fact and moral argument. More than any other literary tradition, however, German literature has come under pressure from historical reality. The crimes perpetrated against the Jews under National Socialism have posed an ongoing challenge, demanding conceptualization, articulation, and engagement. German literature was automatically implicated because it depends on the language used to instigate, perpetrate, and conceal those crimes, and because German was the natural language of most of those who—in various roles—witnessed the crimes as participants.
Two writers, born within 350 miles of each other, and yet worlds apart. Two writers, who would come to live, as exiles, within 100 miles of each other, work in the same academic field, share at least one important friend (Michael Hamburger) as well as an obsession with the Holocaust and its representation in literature and scholarship, and yet who never met or corresponded with one another. Two writers, the younger of whom not only read the other's works extensively but also placed him as a figure in his own text while openly using maps and figures from the elder writer's works, though the younger never wrote on or discussed the importance of the other writer in any article or interview. Finally, two writers, the older one having lived in almost complete obscurity despite publishing twenty-six books in his lifetime and several posthumous volumes since, while the younger rocketed to literary fame in middle age only to have his life end early in a terrible car crash—the elder writer having died peacefully in London years before at age seventy-eight despite having suffered the cataclysms of Theresienstadt, Auschwitz, Niederorschel, and Langenstein.
At first, one is alarmed to hear H. G. Adler and W. G. Sebald's names uttered in the same breath. Why these two in particular, and not two or three others? However, if one ponders this a few moments longer—and coincidentally happened to know both of them as I did—suddenly a network of connections arises, the entanglement of which only allows for the following conclusion: yes, these two solitary men, who likely never met one another personally, belong together.
When Winfried Georg Sebald was born in Wertach im Allgäu in 1944 at the end of the hopeless war, the Nazis deported Hans Günther Adler to Auschwitz, the second stage of his governmentally decreed humiliation, through a land whose language he loved and in which he wrote his works. The horror of Theresienstadt already lay behind him. It always remained a mystery to me how H. G. Adler, the survivor, managed to raise the strength and will to record the system of degradation which he had to experience on his own body. I imagine how he would sit in front of his typewriter in London and write—page by page, as uninvolved as possible and at the same time involved like no other—the record and the analytical penetration of the camp in which he was supposed to perish. Why did he put himself through this—to return to that prison, guided by the “muse of remembrance” which does not want to differentiate between good and evil? Why would the other survivors, those who had built this camp and who obviously had never anticipated ever being held accountable or punished, why would they not write of their crimes themselves? Why aren’t there thousands of precise descriptions of the brutality of all those executioners who, for the most part, even had time as pensioners in West Germany to come to terms with their past?
In the “Guardian Profile” which appeared in September 2001 in anticipation of the UK launch of Anthea Bell's translation of W. G. Sebald's Austerlitz (2001), interviewer Maya Jaggi describes how Sebald “loathes the term ‘Holocaust literature.’” While the assertion no doubt owes something to Adorno's famous dictum, Sebald is quoted as stating, “It's a dreadful idea that you can have a sub-genre and make a speciality out of it; it's grotesque.” Attempts at “recreations” are described as “an obscenity”—according to Jaggi, Sebald commends Lanzmann's Shoah but condemns Schindler's List—and he asserts: “I don't think you can focus on the horror of the Holocaust. It's like the head of the Medusa: you carry it with you in a sack, but if you looked at it you'd be petrified.” Turning to his own practice (referring to Die Ausgewanderten (1992; The Emigrants, 1996), but also by implication to the recently published Austerlitz), Sebald claims that “I was trying to write the lives of some people who'd survived—the ‘lucky ones.’ If they were so fraught, you can extrapolate. But I didn't see it; I only know things indirectly.”
In 1988, W. G. Sebald took part in a symposium held in commemoration of the tenth anniversary of Austrian author and Holocaust survivor Jean Améry's suicide. Sebald himself presented a paper with the title “Jean Améry und Primo Levi,” which was published in a volume of the conference's proceedings in 1990. Though short, this article is significant in its ability to shed light both on Sebald's appreciation of first-generation testimonial literature and on his own approach to writing after and about the Holocaust. And though relatively rarely discussed in Sebald scholarship, the critical responses it has elicited may be said to be indicative of broader trends in the reception of Sebald's literary reflections on and of the Holocaust. In both respects, “Jean Améry und Primo Levi,” especially when read alongside other critical and fictional pieces by Sebald, can also further our understanding of his literary “relationship” with that other first-generation Holocaust author whom the article does not mention by name but whose presence may be felt in the background, here as in other instances of Sebald's writing: with H. G. Adler.
In its opening paragraphs, “Jean Améry und Primo Levi” covers ground with which we are familiar from Sebald's better-known criticism. Naturgeschichte” (Between History and Natural History, 1982), and anticipating the Luftkrieg und Literatur lectures (1997, On the Natural History of Destruction, 2003), the article begins with an indictment of the German postwar literary scene, criticizing it for its deficient aesthetic and moral standards, and diagnosing it with an “almost constitutional inability to tell, or want to get to the bottom of, the truth” (115).
The central concern of the present chapter is with the question of why H. G. Adler's literary works failed to find a wider reading public during his own lifetime. My main focus is on the corpus of letters between Adler and Heinrich Böll which are held, respectively, in the German Literary Archive in Marbach, and the Historical Archives of the City of Cologne. Some of this correspondence has only come to light recently, during the process of review and re-archiving of material which survived the physical collapse of the latter institution in 2009. Following the suggestion of Adler's biographer, I also draw on Adler's correspondence with potential publishers. This material constitutes an interesting case study which offers complementary insights into the West German “literary field” of the 1950s and the two authors' interactions with it. I begin by tracing Böll's early career and in so doing refute the claims made by W. G. Sebald with respect to the later Nobel laureate's novel, Der Engel schwieg. This serves me to point up the insights that a consideration of the publication history of creative work can offer in the wider narrative of literary-historical trends and text reception, and, as a point particularly germane to the present chapter, how a writer's correspondence can be utilized in this regard as an invaluable storehouse of empirical material.